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. 2016 Jun 1;30(9):1475-9.
doi: 10.1097/QAD.0000000000001081.

Tracking development assistance for HIV/AIDS: the international response to a global epidemic

Matthew T Schneider  1 , Maxwell Birger, Annie Haakenstad, Lavanya Singh, Hannah Hamavid, Abigail Chapin, Christopher J L Murray, Joseph L Dieleman
Affiliations

Tracking development assistance for HIV/AIDS: the international response to a global epidemic

Matthew T Schneider et al. AIDS. .

Abstract

Objective: To better understand the global response to HIV/AIDS, this study tracked development assistance for HIV/AIDS at a granular, program level.

Methods: We extracted data from the Institute for Health Metrics and Evaluation's Financing Global Health 2015 report that captured development assistance for HIV/AIDS from 1990 to 2015 for all major bilateral and multilateral aid agencies. To build on these data, we extracted additional budget data, and disaggregated development assistance for HIV/AIDS into nine program areas, including prevention, treatment, and health system support.

Results: Since 2000, $109.8 billion of development assistance has been provided for HIV/AIDS. Between 2000 and 2010, development assistance for HIV/AIDS increased at an annualized rate of 22.8%. Since 2010, the annualized rate of growth has dropped to 1.3%. Had development assistance for HIV/AIDS continued to climb after 2010 as it had in the previous decade, $44.8 billion more in development assistance would have been available for HIV/AIDS. Since 1990, treatment and prevention were the most funded HIV/AIDS program areas receiving $24.6 billion and $22.7 billion, respectively. Since 2010, these two program areas and HIV/AIDS health system strengthening have continued to grow, marginally, with majority support from the US government and the Global Fund. An average of $252.9 of HIV/AIDS development assistance per HIV/AIDS prevalent case was disbursed between 2011 and 2013.

Conclusion: The scale-up of development assistance for HIV/AIDS from 2000 to 2010 was unprecedented. During this period, international donors prioritized HIV/AIDS treatment, prevention, and health system support. Since 2010, funding for HIV/AIDS has plateaued.

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Figures

Fig. 1
Fig. 1
Development assistance for health for HIV/AIDS by program area, 1990–2015.
Fig. 2
Fig. 2
Changes in HIV/AIDS development assistance for health by source, channel, and program area, 2010–2015.
See this image and copyright information in PMC

References

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